Nicole Vienna, PSY.D.
NPI #1073702197 in San Dimas, California
Provider Information
- NPI Number
- 1073702197
- Entity Type
- Individual
- Name
- Nicole Vienna, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PSY.D.
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Feb 24, 2017
Practice Location
- Address
- 464 E BONITA AVE
- Address 2
- SUITE 11
- City
- San Dimas
- State
- California
- ZIP Code
- 91773-3144
- Phone
- (626) 709-3494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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|---|---|
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